NURS 6531 Assignment: i-Human Case Study: Evaluating and Managing Genitourinary or Gastrointestinal Conditions
Urinary frequency is an example of a genitourinary condition that presents problems for adults across the lifespan. It can be the result of various systemic conditions such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these conditions have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks.
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For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.
To prepare:
Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with GI or GU conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with GI or GU conditions.
Assignment
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.
By Day 7
Complete your Assignment in i-Human.
Submission and Grading Information
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Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
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Click on the Submit button to complete your submission.
Grading Criteria
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Week 7 Assignment Rubric
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Submit your Week 7 Assignment draft and review the originality report.
Assignment i-Human Case Study Evaluating and Managing Genitourinary or Gastrointestinal Conditions
In Week 8, you will complete the next Knowledge Check, which covers the Module 3 topics from Weeks 6, 7, and 8. Refer to the Week 8 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.
To go to the next week:
Week 7: Evaluation and Management of Renal and Genitourinary Conditions
The renal and genitourinary system is critical to the function of the entire body. As an advanced practice nurse, obtaining a relevant, focused history is critical. Conditions involving the genitourinary system, such as prostate cancer, often create a feeling of powerlessness, frustration, anxiety, and embarrassment in patients. Having provider-patient conversations about symptoms, potential treatment options, and patient education can be overwhelming for patients under such stress. It is your role to sensitively facilitate the treatment and management process through these difficult conversations and ultimately promote their well-being and empowerment. An accurate assessment will help you recognize and address any impact on the renal and genitourinary system in order to manage and prevent damages to the kidneys or other components of the system. Your role in the clinical setting is unique, as it is not only your responsibility to evaluate, diagnose, manage, and educate patients on their conditions, but also to provide emotional and psychological support to patients and their families.
For this week, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.
Learning Objectives
Students will:
Formulate differential diagnoses for adult patients with renal and genitourinary conditions
Analyze pattern recognition in adult patient diagnoses
Analyze the role of patient information in differential diagnosis
Evaluate pharmacologic and non-pharmacologic treatment options for adult patients
Create an appropriate treatment plan that includes health education and follow-up care
Learning Resources
Required Readings (click to expand/reduce)
Buttaro, T. M., Trybulski, J., Polgar-Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.
Part 13, “Evaluation and Management of Genitourinary Disorders” (pp. 765–830)
Chapter 127, “Incontinence”
Chapter 128, “Prostate Cancer”
Chapter 129, “Prostatic Hyperplasia (Benign)”
Chapter 130, “Proteinura and Hematuria”
Chapter 131, “Renal Failure”
Chapter 132, “Sexual Dysfunction (Male)”
Chapter 133, “Testicular Disorders”
Chapter 134, “Urinary Calculi”
Chapter 135, “Urinary Tract Infections and Sexually Transmitted Infections”
Part 17, “Evaluation and Management of Endocrine and Metabolic Disorders”
Chapter 188, “Hypercalcemia and Hypocalcemia” (pp. 1149–1153)
Chapter 190, “Hypernatremia and Hyponatremia” (pp. 1158–1165)
Cucchiara, V., Cooperberg, M. R., Dall’Era, M., Lin, D. W., Montorsi, F., Schalken, J. A., & Evans, C. P. (2018). Genomic markers in prostate cancer decision making. European Urology, 73(4), 572–582. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.eururo.2017.10.036
Alford, A. V., Brito, J. M., Yadav, K. K., Yadav, S. S., Tewari, A. K., & Renzulli, J. (2017). The use of biomarkers in prostate cancer screening and treatment. Reviews in Urology, 19(4), 221–234. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811879/
Burton, M. (2018). Prostate cancer screening guidelines: Providing patient education. Family Medicine Clerkship Student Projects. https://scholarworks.uvm.edu/cgi/viewcontent.cgi?article=1388&context=fmclerk
Fletcher, R. H. (2019). Guideline: Experts recommend against prostate cancer screening with prostate-specific antigen test. Annals of Internal Medicine, 170(2), JC2. https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=EPTOC134286027&site=ehost-live&scope=site&authtype=shib&custid=s6527200
Lee, D. J., Mallin, K., Graves, A. J., Chang, S. S., Penson, D. F., Resnick, M. J., & Barocas, D. A. (2017). Recent changes in prostate cancer screening practices and epidemiology. The Journal of Urology, 198(6), 1230–1240. https://www.auajournals.org/doi/10.1016/j.juro.2017.05.074 Credit Line: Recent changes in prostate cancer screening practices and epidemiology by Lee, D. J., Mallin, K., Graves, A. J., Chang, S. S., Penson, D. F., Resnick, M. J., & Barocas, D. A., in The Journal of Urology, Vol. 198/ Issue 6. Copyright 2017 by Elsevier Inc. Reprinted by permission of Elsevier Inc. via the Copyright Clearance Center.
Mendez, R. (2018). Prostate cancer: Patient education for changing guidelines. Family Medicine Clerkship Student Projects. https://scholarworks.uvm.edu/cgi/viewcontent.cgi?article=1233&context=fmclerk
Vane, S. (2019). Prostate cancer screening: A review of current recommendations. Urologic Nursing, 39(3), 133–138. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.7257/1053-816X.2019.39.3.133
Required Media (click to expand/reduce)
Renal and Genitourinary Disorders
Dr. Anna Liza D. Villena discusses renal and genitourinary disorders and what to look for as you assess your patient. (28m)
i-Human Patients. (2020a). i-Human case player [Interactive media]
Strong Medicine. (2019b, January 12). An approach to polyuria [Video]. YouTube. https://www.youtube.com/watch?v=q-YfE9v0hrA
Note: The approximate length of this media piece is 11 minutes.
Hasudungan, A. (2017, February 5). Urinary tract infection – overview (signs and symptoms, pathophysiology, causes and treatment) [Video]. YouTube. https://www.youtube.com/watch?v=1vIHTAnBmuU
Note: The approximate length of this media piece is 13 minutes.
Grand Rounds in Urology. (2017, December 29). How to differentiate the causes of lower urinary tract symptoms [Video]. YouTube. https://www.youtube.com/watch?v=5WXIZ-PKhVA
Note: The approximate length of this media piece is 21 minutes.
Hasudungan, A. (2016, November 6). Urinary/kidney stones – overview (signs and symptoms, risk factors, pathophysiology, treatment) [Video]. YouTube. https://www.youtube.com/watch?v=kLxBks6s4M8
Note: The approximate length of this media piece is 15 minutes.
Strong Medicine. (2017a, September 11). Acute kidney injury (Part 1/3 – definitions and etiologies) [Video]. YouTube. https://www.youtube.com/watch?v=rGnRUQzSCwI
Note: The approximate length of this media piece is 16 minutes.
Note: The approximate length of this media piece is 14 minutes.
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